dQM QICore Content Implementation Guide
2025.0.0 - CI Build
dQM QICore Content Implementation Guide
2025.0.0 - CI Build
dQM QICore Content Implementation Guide, published by cqframework. This guide is not an authorized publication; it is the continuous build for version 2025.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/dqm-content-qicore-2025/ and changes regularly. See the Directory of published versions
| Official URL: https://madie.cms.gov/Measure/CMS156FHIRHighRiskMedsElderly#effective-data-requirements | Version: 1.0.000 | |||
| Active | Responsible: National Committee for Quality Assurance | Computable Name: EffectiveDataRequirements | ||
| Metadata | |
|---|---|
| Type | Module Definition |
| Parameter |
Name: Measurement Period
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: Period |
| Parameter |
Name: ErrorLevel
Use: In Min Cardinality: 0 Max Cardinality: 1 Type: string |
| Parameter |
Name: Numerator 3
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Denominator
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Numerator 1
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Numerator 2
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Initial Population
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: Denominator Exclusions
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: boolean |
| Parameter |
Name: SDE Sex
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Coding |
| Parameter |
Name: SDE Payer
Use: Out Min Cardinality: 0 Max Cardinality: * Type: Resource |
| Parameter |
Name: SDE Ethnicity
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
| Parameter |
Name: SDE Race
Use: Out Min Cardinality: 0 Max Cardinality: 1 Type: Resource |
| Data Requirement |
Type: Patient
Profile(s): QICore Patient Must Support Elements: extension, url, birthDate, birthDate.value |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Antipsychotic |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Benzodiazepine |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Antihistamines for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Antiparkinsonian Agents for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Gastrointestinal Antispasmodics for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Antithrombotic |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Guanfacine Medications |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Nifedipine Medications |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Antidepressants for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Barbiturates for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication Code(s): RxNorm 318179: ergoloid mesylates, USP 1 MG Oral Tablet |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Central nervous system, other |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Estrogens for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Sulfonylureas for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Desiccated Thyroid Medications |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Nonbenzodiazepine hypnotics |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Skeletal Muscle Relaxants for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Potentially Harmful Pain Medications for Older Adults |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Megestrol Medications |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Meperidine Medications |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Anti Infectives, other |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Digoxin |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit Code Filter(s): Path: medication ValueSet: Doxepin |
| Data Requirement |
Type: MedicationRequest
Profile(s): QICore MedicationRequest Must Support Elements: medication.reference.value, status, status.value, intent, intent.value, dosageInstruction, dispenseRequest, dispenseRequest.expectedSupplyDuration, dispenseRequest.quantity, dispenseRequest.numberOfRepeatsAllowed, dispenseRequest.numberOfRepeatsAllowed.value, authoredOn, authoredOn.value, dispenseRequest.validityPeriod, dispenseRequest.quantity.unit, medication |
| Data Requirement |
Type: Medication
Profile(s): QICore Medication Must Support Elements: id.value, code |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Schizophrenia |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Bipolar Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Seizure Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: REM Sleep Behavior Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Benzodiazepine Withdrawal |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Alcohol Withdrawal |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Generalized Anxiety Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Hospice Diagnosis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Problems Health Concerns Must Support Elements: code Code Filter(s): Path: code ValueSet: Palliative Care Diagnosis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Schizophrenia |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Bipolar Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Seizure Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: REM Sleep Behavior Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Benzodiazepine Withdrawal |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Alcohol Withdrawal |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Generalized Anxiety Disorder |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Hospice Diagnosis |
| Data Requirement |
Type: Condition
Profile(s): QICore Condition Encounter Diagnosis Must Support Elements: code Code Filter(s): Path: code ValueSet: Palliative Care Diagnosis |
| Data Requirement |
Type: Resource
Profile(s): Resource Must Support Elements: id, id.value |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Office Visit |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Ophthalmological Services |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Preventive Care Services Established Office Visit, 18 and Up |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Discharge Services Nursing Facility |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Nursing Facility Visit |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Care Services in Long Term Residential Facility |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Preventive Care Services Initial Office Visit, 18 and Up |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Annual Wellness Visit |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Home Healthcare Services |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Telephone Visits |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period Code Filter(s): Path: type ValueSet: Online Assessments |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, status, status.value, period |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, hospitalization, hospitalization.dischargeDisposition, period, status, status.value Code Filter(s): Path: type ValueSet: Encounter Inpatient |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: Hospice Encounter |
| Data Requirement |
Type: Encounter
Profile(s): QICore Encounter Must Support Elements: type, period, status, status.value Code Filter(s): Path: type ValueSet: Palliative Care Encounter |
| Data Requirement |
Type: Coverage
Profile(s): QICore Coverage Must Support Elements: type, period Code Filter(s): Path: type ValueSet: Payer Type |
| Data Requirement |
Type: Observation
Profile(s): QICore Observation Screening Assessment Must Support Elements: code, value, effective, status, status.value Code Filter(s): Path: code Code(s): LOINC 45755-6: Hospice care [Minimum Data Set] |
| Data Requirement |
Type: Observation
Profile(s): QICore Observation Screening Assessment Must Support Elements: code, effective, status, status.value Code Filter(s): Path: code Code(s): LOINC 71007-9: Functional Assessment of Chronic Illness Therapy - Palliative Care Questionnaire (FACIT-Pal) |
| Data Requirement |
Type: ServiceRequest
Profile(s): QICore ServiceRequest Must Support Elements: code, authoredOn, authoredOn.value, status, status.value, intent, intent.value Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Hospice Care Ambulatory |
| Data Requirement |
Type: Procedure
Profile(s): QICore Procedure Must Support Elements: code, performed, status, status.value Code Filter(s): Path: code ValueSet: Palliative Care Intervention |
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